Organization
NEW GENESIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES LYNCH ESQ. (PRESIDENT)
(347) 623-1163
Entity
Organization
Contact information
Practice address
3485 E TREMONT AVE FL 2, BRONX, NY 10465-2016
(718) 828-1549
(516) 303-0968
Mailing address
11728 225TH ST, CAMBRIA HTS, NY 11411-1706
(347) 623-1163
(516) 303-0968
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/16/2017
Last updated
06/16/2018
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